The modern secular decline in mortality in Western Europe did not begin until the 1780s and the first wave of improvement was over by 1840. The elimination of famines and of crisis mortality played only a secondary role during the first wave of the decline and virtually none thereafter....

A compelling new study from Nobel laureate Robert Fogel, examining health, nutrition and technology over the last three centuries and beyond. It will be essential reading for all those interested in economics, demography, history and health care policy

The six principal findings of this paper are as follows: (1) crisis mortality accounted for less than 5 percent of total mortality in England prior to 1800 and the elimination of crisis mortality accounted for just 15 percent of the decline in total mortality between the eighteenth and...

The modern secular decline in mortality in Western Europe did not begin until the 1780s and the first wave of improvement was over by 1840. The elimination of famines and of crisis mortality played only a secondary role during the first wave of the decline and virtually none thereafter....